Provider Demographics
NPI:1477815686
Name:SHEYNINA, NATALIYA (BA)
Entity Type:Individual
Prefix:MRS
First Name:NATALIYA
Middle Name:
Last Name:SHEYNINA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 OCEAN AVE APT F1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3995
Mailing Address - Country:US
Mailing Address - Phone:347-309-1957
Mailing Address - Fax:
Practice Address - Street 1:2583 OCEAN AVE
Practice Address - Street 2:SUITE LL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4521
Practice Address - Country:US
Practice Address - Phone:718-332-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator